A factory worker arrives at the emergency department minutes after an alkaline cleaning solution splashed into his right eye. Which of the following interventions should be performed first to minimize ocular damage?
Apply a sterile eye pad and shield
Instill topical broad-spectrum antibiotic drops
Perform a visual-acuity assessment with a Snellen chart
Begin continuous irrigation of the eye with normal saline or other suitable fluid
The immediate priority in any chemical eye burn is to start continuous, copious irrigation of the affected eye with the best available non-caustic fluid (e.g., normal saline, lactated Ringer's, or even tap water). Early irrigation dilutes and removes chemical agents, limits penetration, and improves outcomes. All other measures-such as assessing visual acuity, instilling medications, or covering the eye-should occur only after irrigation has begun.
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BCEN CEN
Maxillofacial and Ocular Emergencies
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